HomeMy WebLinkAbout0066 CASTLEWOOD CIRCLE �� ���
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Town of Barnstable •
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¢P,ostThis Car`dSo,>That rtis~1/�sible:From tke Street-=Afl roved.Plans°Must beHRetamed on;Job and this,Card Must'beaKe t
WENtYCABL.L*, " ;�' '. F ,�S1a -',�,.,:.i a..,; „ k • sPP. �c ' " u� ,,,- �krZ�P.
b PostedfUntil Finalrinspection HasI3eenMade \ , - -
39• ", ,':: =x r m
+° W e-r<e�a Certificate,of Occu anc, is;Re a red,,such Buildm -shalt Not be Occupied until a Final,lnspect�on has been°made xh Permit '
, t
-Kermit No. B-18-3321 Applicant Name: Richard Lennox
Approvals
Current Use: Structure
Date issued: 10/22/2018
Expiration Date: 04 22
Permit Type: Building-Deck 2019 foundation:p / /
Location: 66 CASTLEWOOD CIRCLE, HYANNIS Map/Lot: 273-070 Zoning District: RC-1 Sheathing:
Owner on Record: CHAMBERLAND,TERESA A TR Contractor Name: ..RICHARD J LENNOX Framing: 1
Address: 90 FAIRVIEW AVENUE ' Cont�ractor.Licens6 CS-055731 2
REHOBOTH, MA 02769 k, Est Project Cost: $7,000.00 Chimney:
Description: Construct a 10'x 20'deck as per specs Permit Fee: $ 110.00
Insulation:
Project Review Req:
w� Fed Paid: $ 110.00
Date, 10/22/2018 Final:
} \p Plumbing/Gas
Rough Plumbing:
Building Official
Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authonzed by this permit is commenced within six mo fte nths ar,issuance. Rough Gas:
All work authorized by this permit shall conform to the approved application,ard theapproved construction documents for whichlths permit has been granted.
All construction,alterations and changes of use of any building and structures:shall be in compliance,with the local zoningby 1@ws and codes. Final Gas:
This permit shall be displayed in a location clearly visible from access street�or roadand shall be maintained open for public ms'pectioh for.the entire duration of the
work until the completion of the same. r
Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and,F re Offierels are e,6vid6d.on thrs'permit.` Service:
Minimum of Five Call Inspections Required for All Construction Work:
Rough:1.Foundation or Footing �=� � �� r �� ,��'��`' � '
2.Sheathing Inspection ?
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
Work shall not proceed until the Inspector has approved the various stages of construction. Final:
"Persons ontracc ing with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A).CIC Fire Department
Building plans are to be available on site Final:
�\ All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
Assessor's offioe (1st floor): /� /�
`. /
Assessor's map and lot number .......�. ... v,.., V �oFTNETO�
Board of Health (3rd floor): e ,
Sewage Permit number ..........^............l...... .Q 4'!�.............. �.
Engineering Department (3rd floor): to 9Hd9TADLE,
M406
o 39
House 'number 0
,ems t 6
APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only
TOWN OF BARNSTABLE
BU-hLDING INSPECTOR
57
APPLICATION FOR PERMIT TO ..........1.6 ..1.4.a?............ ............................................................
�\ I
TYPEOF CONSTRUCTION ............ ....................................................................................................
/.(._ ' ........................
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ......e....... _ !A o Fam n ........ s.r................... 1,6A.0::�.:.
I�k��
Proposed Use ..................... ...............a.. ..... .......t....................................................................::.............................................
r 4, 1
Zoning District .......... ..........�►.................................,..., ........Fire ,District ......... �� ���.,:?
Name of Owner .../ ..........M ... .,7.f:ir.4_e...................... .Address ...... ...................(.n.-'J.�.� �..r•,.Z.�►..�.�C ...........
Name of Builder /�'► �"►
rate+►.�.�................... .... ...� ...... .......,Address .....h.............� ....�n.tr..a.r�. ..!� 0A,C...............
Nameof Architect ..................................................................Address ....................................................................................
..............................\............e.....Fdundation ........ ...
Number of Rooms ...........:..� (�e1tiC,�.,r.�rn.�.-,.t...........................................
Exterior ............... ..... ... . ..............:.........................................Roofing ... rf C.. :.K�.tl...'.:[.....................................................
. .
Floors .....I...... 1>0D o ...................:^:-.::'Interior ...... .�r.;d..c eft; .,.........� I r �n
....................
He' .......... ....ating �a. .....`...............................................:..........Plumbing .......... .:./s'..c!!... ...................................................
Y.......
Fireplace �a.e:! .. .......................................:............A rox mate Cost ......... �� ..... .,
p d PP .......0"n......................................
Definitive Plan Approved by Planning Board ------------------__------------19-------- . Area
*�
Diagram of,Lot and Building with Dimensions �Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
F.
f
17 -�
r
26
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of-Barnstable regarding the above
construction.
Nome ./.�-..�.�.t ....... �. ��!. .
Construction. Supervisor's License .. .`l.ef..? .........
McCANN., ED A=273-070
No ...297.13... Permit for ...ADD Sunroo...m
. ..........
Single Family Dwelling.....................
Location .....6.6..Castlewood Circle...............
Hyannis
Owner Ed McCann
..................................................................
Type of Construction .....Frame
. ..........................
...............................................................................
1
Plot ............................ Lot ................................
Permit Granted ...........July..2.9,............19 86
Date of Inspection ....................................19 '
Date Completed ......................................19
c
C� �� 1 157
Asse or's offioe (1st floor)
,AssEsor's •map and lot number ....... ./... ...w. .. v "SEPTIC SYSTEM MU.
Poa of Health (3rd floor): r F`„; ALLED iN �� ��� ��P� �~�
�/ age Permit number ....... ............' ...1�•�m,!•:.......-..... I�H ����� i BasasTsnLs. i
E inel ring Department (3rd floor): ��!? ''��_ � �o rasa
_, O 1639- 9�
H use number ......................................................................... �Fo YPY a`
PLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only
TOWN ,OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ......... .`.3.............
........: .�?.V�!.�cas� ..............................
TYPEOF CONSTRUCTION ............ P.v..)....................................................................................................
...........11. ....... .................1a�_
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
r .- .Location ..... "- ` n
Proposed Use 4.1}gt.r..#...........................:.......................
................................................................................
Zoning District ......... �................................................Fire District ......... /s 1 �'� f
l
Name of Owner .. �........ c .........................Address ......�6...............Q.61��.�f.a.,AaQzr ...C C`( ............
Name of Builder /.i'f.0.0A..�1.�....P......9SI-1....................Address ....I.�...�....... �.t./fl.s.t3.�.�..�......Qlr...............
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms ..............I..................................................Foundation ..... v'1tiC.T.Jt47 . ............................
Exterior ............./ ... .L...................................................
....Roofing ....... - ..C�.JL: ..................................................
( c
Floors ���¢ .. ......................................................Interior ......�.J`rf..ch?.0.1.�.......}......... c.V4$....................
Heating ..........H(l..�....0..c.f................................................Plumbing .........� 1�1(1..:-�...................................................
Fireplace ...........Nov.,.4.....................................................Approximate Cost .........15.0.0.0.................... .. ..............
Definitive Plan Approved by Planning Board ________________________________19________ . Area .....1r*1.-.0 J .........................
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
r �V
36 ,
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the-Town of Barnstable regarding the above
construction.
Na e ...........
Construction Supervisor's License .. 3. C1 3
McCANN, ED
.... Permit for ...Add..S14n.V.9.9.14.........
Single family Dwelling
....................
Location .....66....C:a.s.t1.ewo.od...circle..................
Hvannis
........... ............................................I.........
Owner .............Ed...M...c.Can.n
...... .......................................
t
Type of Construction ......,Frame..........:..............
...............................................:...............................
Plot ......... ................... Lot ................................
,
Permit Granted ........July...........29....... .!........19 86
Date of Inspection ......................................19
Date Completed ..................... .............
�i`�•-,'.j ,;� '-.-•X.C�.�y't`,;!' �"�i`•n t��`��-m-•^� �?�'"�`'� ..�r��.rf�� ..�;�-'"� •>'�'�c�{`����;c�;i����s•t:,.,af'd; �=eta-�e+.-,,,,�-.....-...— � ' ''�
Assessor's map sand:"lot number � ...... ��
67k
Sewage Permit number .........%... ...................................
ypF�?HE l�
t �• TOWN OF BARNSTABLE
8 9TAIME, i
b S&L ��� BUILDING INSPECTOR
��MPY Or•
APPLICATION FOR PERMIT TO �,,...........................�........................-�.t....�`.'..;.,;.
TYPE OF CONSTRUCTION ............ l/t�.�1. ''t.Q- .................................
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to�the following information,-
'Location .. .. / � .�1'.( _�P.C.l�" �' .. yt.;;�/.f'� ......�� �.. % !C7
,Proposed Use .... ;� /, '�/� / .. ..................................................I....... ............
Zoning District ........... ..''� �...........................................Fire District
Name of Owner f.. A .Address .........................,.f. .. Jam,,,. .� !I��
Name of Builder19-4
r �/!. P....... ....Address ��� ..v. .................
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms ....... `!!'.........:.......................................Foundation ..... '� .. (:r ?�f �� >
Exierior Roofing ...... .+6c't! ... ���'� L��� l.,10,,l'-�'......
Floors .....Interior
Heating .. C1 .... ..... ...... / .................Plumbing ............., '? .........................................................
Fireplace .. !. .. .. .- ..ly ......r..... ...............................Approximate. Cost ....... ... .....
Definitive Plan Approved by Planning Board ---------------_---------------19________. Area .....:.......
Diagram of Lot and Building with Dimensions Fee .
SUBJECT TO � �
A;P"P�ROVAL OF BOARD OF HEALTH
R
to
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. �}
Name . A ...
L
MAO5
Franco Real Estate Development Co. , Inc. A=273-70
7= 70
No , 17892 Permit for .... 1 1�2 story,
...................
singles fami dwelling
....................................................................... ...
{ lOAastlewood 93FTEN Circle
Location .`!.............................................................
Hyannis
.........................................................................::.:..
Franco Real Estate Development Co. , Inc.
Owner .........................M........................................
Type of Construction .�.............frame...........................
................................ ............... .......... .........
Plot Lot ................18
gust 1 75
Permit Granted ......., .........0......19
Date of Inspection ............ .......................19
Date Completed ......................................19
PERMIT :REFUSED
......... ........................ 19
.................................. I........................................
............................. .........................................
...............................................................................
...............................................................................
Approved ...... ............................; ..... 19
...............................................................................
...........................................................
` ►. Town of Barnstable ildi n Bu
JPost This Card SoThat it'°is Visible Frorrthe Sfreet Approved PlansMust be Retained on'Job and this.Card Must beKept
t65 ,� �Wlh
teere.a'Certificate of Occupancy�s Required,such B;uildmg shall Not be Occupied£until.alFinal Inspection has been made ntt Permit
r
Permit No. B-18-2045 Applicant Name: Richard Lennox Approvals
Date Issued: 07/25/2018 Current Use: Structure
Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 01/25/2019 Foundation:
- Residential Map/Lot 273-070 Zoning District: RC-1 Sheathing:
Location: 66 CASTLEWOOD CIRCLE, HYANNIS
Contractor Name:{* BENABBY INC DISASTER
,, / Framing: 1
Owner on Record: CHAMBERLAND,TERESA A TR
SPECIALIST
2
Address: 90 FAIRVIEW AVENUE Contractor License: .108642
REHOBOTH, MA 02769 r Chimney:
g � _� ) ` Est ProjeCt Cost: $72,000.00
Description: Interior repairs following water damage Permit Fee: $417.20 Insulation.-
i Fee Paid: $417.20 Final:
Project Review Req:
x. Date„. 7/25/2018
Plumbing/Gas
Rough Plumbing:
t Final Plumbing: ,
Building Official
Rough Gas:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within si"x months after issuance.
All work authorized by this permit shall conform to the approved appltication:and the approved construction documen is for which this permit has been granted. Final Gas:
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laws and codes.
This permit shall be displayed in a location clearly visible from access street ortroad and shall be maintained open for public inspection for the entire duration of the
work until the completion of the same. q ° Electrical
` Service:
The Certificate of Occupancy will not be issued until all applicable signatures by the Bwldmg and Fire Officials are provided on this permit.
Minimum of Five Call Inspections Required for All Construction Work: :� " , Rough:
1.Foundation or footing '•
2.Sheathing Inspection Final:
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough:
5.Prior to Covering Structural Members(Frame Inspection)
6.Insulations Low Voltage Final:
7.Final Inspection before Occupancy L/
cj Health
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. �iU✓- ' / Final:
Work shall not proceed until the Inspector has approved the various stages of construction.
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department
Final:
Building plans are to be available on site
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
i
i
Town of Barnstable [ wic iPT]
BAMMASSSrABM200 Main Street, Hyannis MA 02601 .508-862-4038
Application for Building Permit
Application No: TB-18-2045 Date Recieved: 6/26/2018
Job Location: 66 CASTLEWOOD CIRCLE,HYANNIS
Permit For: Building-Alteration INTERIOR Work Only-Residential
Contractor's Name: BENABBY INC/ DISASTER SPECIALIST State Lic. No: 108642
Address: 9 Jan-Sebastian Way, Sandwich, MA 02563 Applicant Phone: (508) 888-1113
(Home)Owner's Name: CHAMBERLAND,TERESA A TR Phone: (508)243-6715
(Home)Owner's Address: 90 FAIRVIEW AVENUE, REHOBOTH,MA 02769
Work Description: Interior repairs following water damage
Nt
V
Total Value Of Work To Be Performed: $72,000.00
Structure Size: 0.00 -0.00 0.00
Width Depth Total Area
I hereby swear and attest that.I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before
he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568).
I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by
filing a waiver with the appropriate District Office;.and that a sole proprietor of a business is not required to have coverage unless he files his intent to
accept coverage.
I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have
been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the
Massachusetts State Building Code or any other,code,ordinance or statute,regardless of what might be shown or omitted on the.submitted plans and
specifications. All information contained within is true and accurate to the best.of my knowledge and belief.
All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24.
hours in advance.
Signed:, Richard Lennox 6/26/2018 (508)888-1113
Applicant Date Telephone No.
Estimated Construction Costs/Permit Fees
Total Project Cost_: $72,000.00 i Date Paid Amount Paid . Check#or CC# Pay Type
Total Permit fee: $417.20
Total Permit Fee Paid: $0.00
� � 5-NOT A :PIT ` ;:�
Town of Barnstable Building
Past This.Card So That it sdis�ble.From the Street ,A ;,;roved Plans Must besRetamed onnJob�and thisCartlMust be,Kept ,
s tARhfT['AC{LB, " �, '.:�� s�... ai,si•,. ...�. F�i„'�r,;.%'-' sx .%''�' ✓y 5: . � Pl�i+ r a �' `� .�' t "�� � Y '�, ",F ,� 3"1639. Pasted'Until Final Inspection Has Been Made � �s �.s� � &
Permit
�: Where aHCertifieate of Occupancys Required,such�Buildfng shall Not be�Occwp�ed�un#il a Final Inspection has been made ''�#
Permit NO. B-18-2044 'Applicant Name: Richard Lennox Approvals
Date issued: 06/28/2018 Current Use: Structure.
Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 12/28/2018 Foundation:
Residential Map/Lot: 273 070 Zoning District: RC-1 Sheathing:
Location: 66 CASTLEWOOD CIRCLE, HYANNIS.
r Contractors Name BENABBY INC/DISASTER Framing: 1
Owner on Record: CHAMBERLAND,TERESA A TR SPECIALIST •
2 .
Address: 90 FAIRVIEW AVENUE �� y� �= -.;_,Contractor License 108642
REHOBOTH MA 02769 Chimney:
Est Protect Cost: $16,000.00
Description: Exploratory interior demolition due to water damage' Permit $ 131.60
Fee: Insulation:
� x s
FeePaid $ 131.60 Final:
Project Review Req: s
Date:• 6/28/2018
Plumbing/Gas
�c Rough Plumbing:
Final Plumbing:
Building Official
Rough Gas:
This permit shall be deemed abandoned and invalid unless the work authorized,by this permit is commenced within siz$months after issuance.
All work authorized by this permit shall conform to the approved applicatiomandjhe_approved construction documents for whwhahis permit has been granted.
Final Gas:
All construction,alterations and changes of use of any building and structures-shall be in compliance with the local zoning`-by=laws and codes.
This permit shall be displayed in a location clearly visible from access street or road andxshall be;maintained open for public inspection for the entire duration of the Electrical
work until the completion of the same.
Service:
The Certificate of Occupancy will not be issued until all applicable signatures by the Build g and.F !Officials are provided on this permit.
Rough:, ,
Minimum of Five Call Inspections Required for All Construction Work:,U� i-�0,AE. �,,, &I_•..
1.Foundation or Footing
Final:
2.Sheathing Inspection
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
S.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final:
6.Insulation
7.Final Inspection before Occupancy Health
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: -
Work shall not proceed until the Inspector has approved the various stages of construction.
Fire Department
"Persons co rat ' with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final:
c�
Building plans are to be available on site
�c� All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
4 t
Town of BaY-nstable
T
" BAItNSTgBt$ 2 Expires 6 months from issue dale
Regulatory Services Fee �
ArFo �p�0 ct
Thomas F.Geiler,director J�
Building Division
Tom Perry, BuildingComn
ussioner
200 Main Street, Hyannis,MA 02601
Office: '508-862-4038
Fax: 508-790-6230
FXPR.ESS P14CRIVXIT APPLICATION
Not f�alid witlr.out lZcdy_Press l»r�priSIDENTt��,Qj�,Y
Map/pazcel Number � 93 6 / v
li
Property Address U e' T �—
�t 2G
Residenti� Value of Work
-fUnimum fee of$25.00 for work under$6000.00
)wner's Name&Address --r-4 r l
ULe
'ontractor's Name
G (%'-9a
Telephone Number �- '�
CL
ome Improvement Contractor License#(if.a licab PP le) � 1 4 O
)nstnmtion Supervisor's License#(if applicable) ""l O
]Workman's Compensation Insurance
Check one: ®PRESS PERMIT
D I am a sole proprietor APR 1 ZQ07
lam the homeowner
v I have Worker's Compensation Insurance
TOWN OF BAR€VSTABLE
urance Company Name 2D .S
r lr Q
rkman's Comp.Policy# �S3
?y of Insurance Compliance CertiScate must be on file. f
nit Request(check box)
]� Re-roof(stripping old shingles) All construction debris 4.
will be taken to
Re-roof(not stripping. Going over exist
ing layers of roof] 1.
Re-side Vit)4L s IcA I
t.n
El Replacement Windows. . - V
U Value (maximum.44)
'"Where required: issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic Conservation,rvation,etc.
Property Owner must sign Property Owner Letter of Permission.
ome Improvement Contractors License is required.
tore
s:expmtrg
163004
Faae 7 of
CAPIZZI HOME IMPROVEMENT INC.
SPECIFICATIONS AND ESTIMATES
.STATE OF MASSACHUSETTS
LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT
I,T Qj2, OWN THE PROPERTY LOCATED AT
cl-
-_ 0 W UQ P t , MASSACHUSETTS.
I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR
AB T BUILDING PERMIT
IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING
CODE.
I GIVE MY PERMISSION TO LESSEE
TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS
T n.TF TTT. Tc_rn
SIGNATURE OF OWNER :
�S
l ��.f�l�'�f�-/ t �✓� �r�IG� �'6 I lam/� .G97"-�G��f�' 1
OWNER'S ADDRESS: %
OWNER'S TELEPHONE:
LESSEE'S SIGNATURE:
LESSEE'S ADDRESS:
LESSEE'S TELEPHONE:
APLLICA_NT'S SIGNATURE:
APPLICANT'S ADDRESS: 1645 ewtown Rd., Cotuit, MA 02635
APPLICANT'S TELEPHONE: 508-428-9518
RESPONSIBLE OFFICER:
RESPONSIBLE OFFICER ADDRESS:
RESPONSIBLE OFFICER TELEPHONE:
II
I
Client*:47298 CAPIi'O^+1
( ACORD,. CERTIFICATE OF LIABILITY INSURANCE I Q ;c9a7`YYYY)
PRoO'JCER
THIS CERTIFICATE IS ISSUELO AS A MATTER OF[Ni ORMATION
Rogers&Gray Ins, Agency,inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
434 Route 134 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXi END OR
P. O. Box 1601 ALTER THE C0'VERAGEAFFORuED BYTHE POLICIES BELOW.
South Dennis,MA 02660-1601 INSLIRERS AFFORDING COVERAGE NAIC
INSURED I
Capizzi Horne Improvement, Inc. INSURER,: National Grange Mutual Ins, Co.
- INSURER 3: Am9riCan Intsma+ional Gr !
Capizzi E,n�rprises, Inc.
1645 Newtown Road INSURER 0:
Catuit, MA 02635 INSURER D:
COVERAGES !NsuRER -�
THE PCLICIES Orr INSURANCE LIS I ED BELOW HA`q SEEN ISSUED TO THE INSURED NAMED ABOVE=OR THE POLICY PERIOD INDICATED.NOT'•iVI i HSTAN'DING
ANY'REQUIRS%iGNT,TERM OR CONDITION Or ANY CONTRACT OR OTHER DOCUVENT'AITH RESPECT TO WHICH THIS CE!T iF.'CATS MAY BE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO A'!THE TEAS,EXCLUSIONS AND CONDITIONS OF SUC-I
POLICIES.AGGREGATE Lh%lrTS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS.
IN . u
LT R rt TYPE OF INSURANCE o POLICY EFFECTIVE POLICY EXPIRATION
POLICY NUMBER -AT (MM/ iYY AT='MM! iYY � 'LIMITSA I�=N= L LIABILITYMP010707 06108rC6 1061:08107 -ar_H xcuRREncE si 004,000
x I w MHIERCIAL GE,\EFAL L!ASIUTY OAMA Sc TD RENTED $�oa 4aa
I i . -CLAIMS MADE �OCCUR MEDEXF(Anyeneeersa.! $iC 000
HPERSONAL 3 AOV NJURY $1,000 000
GFlI'L AGGFtSCATE U7AIT APPLIES PER: GENEr^.ALAGGRECATE $2,0000.00
PRO PRODUCTS-CCUP/CFAGO $2.000,000
jPOLICY JECT LOC
AUT04IOB!LE LIABILITY
'CMBINED SINGLE LIMIT
( ANY AUTO IEz sccidenf) $
.ALL OY^ED ALTOS
SCHEDULED AUTOS BODILY INJURY'q $
fPsr perscn)
,HIRED AUTOS
NON-OWNED AUTOS BODILY INJURY $
1 - fps(a=dagj
. I PROPERTY DAId4GE
fP-ra=de") $
GARAGE LABILITY
A;J"TO ONLY.EA ACCIDENT $
ANY AUTO
I I FAU7
ER THAN Et ACC S
O ONLY: .4GG $ -
KCESSRIMBRELLA LIABILITY I E4C.i OCCURRENCE $
j OCCUR ❑CLAIMS MADE
I AGGREGATE $
I
-I DF.DCCTISLE
I REf=NTIGN 5 I
WORKERS COMPENSATION AND. 1764953 2J25f06 12'25/07 1r STATU- GTH- _
EMPLOYERS`LIhBILITY TORY "IT
Fi
ANY PROPRY=TORIPARTNEZtExECLFriVE - E.L.EACH ACCIDENT $500,000
CFRCERIMEMSER EXCLUDED? - -
If yes,descr Se under - E.L.DISEASE-EA EMPLCJYEE $500,000-SPECLA -
LPROVISIONS ce
OTHER cw E.L.DISEASE-POLICY UWIIT $500,000 -
OTHER
DESCRIPTION OF OPERATIONS i LOCATIONS/VEHICLES I EXCLUSIONS ADCED BY ENDORSEMENT I SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF rIHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXP'RA RON
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,iTS AG EiITS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
ACCORD 25(2001 08) 1 of 2 #26433 DRA1V.y 0 ACQRD CORPORATION 1988
i ne uommomveatan qj massacnusetts
Department of Industrial Accidents
G3 m Office of Investigations
600 Washington Street
Boston, Jim 02111
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Le�-bly
Name (BusmesJorganization/Individual):
Address:. 1645 Newtown. Road
City/State/Zip: Tel. 428 95181 . I P.62 5060
P o r I e#:
e on an employer? Check the-appropriate box: Iype of project(required):
I am a eu.pIoyer: 4• Q I.ain a general contractor and I
6. Q 2Vev, constFii&don
pJmployees (�and/or part-time).* l ave,hired.the sub-`contractors
2.Q I aiii a wile proprietor or partner- listed on the attached sheet 7 Q Remodeling
ship and have no employees These sub contractors have 8. :Q.I?eiiolition
WOg forme in any capacity. workers'comp.ir�sivance. 9_ Q Building addition
.[No workers comp_ msuTance 5. Q We are a corporation and its
requi officers have exercised their io Q Elecirical repairs or additions
3. I.am a.homeoRrner doing.all work nglit f exeniptloa pet MGI, _ I L EJ Phirming.repairs or additions
myself[No workers' comp. c 1 )
52,.§I(4 ,and we have no 12.-[Q R.00fiepairs
insurance requarecl employes {No workers'
co r�,rr an ce r 13 Other
nT r:.- .. ec#nired 1.
*Any appIicxint that checks boa 1.must also fin.butd e section below shown their workers co on 1tc. z¢fonation
g n Pa Y
f Hgmeowners who sub�t$iis affidavat indicating they ate.domg 0 work add fiien re ouf§ide contractors must submit a new e$davit ir<d catiug such
ContracfDrs 8�at efieck this bog must attached an additional sheet shouting$ie name ofthe sao-contractors and roes woFkers comp policymfomtion
lain mz erz�loyer Mat tsprovu�ing workers'compensafron_uzsurrznce formy�.mplo3�ees $elojy,is the polry� site
information
�Ti7T ^ r
Policy#r 6r.Self-ins. Lic. #: /_7&//q,1fT2:) Exp Lion bate. /Cq::�) 1:6
�_D
Tob Site Address:. Ci1ylgtatelZip-
Attach a copy of the workers'compensation policy declaration page(showingthe,.poficy nuinber and eipnration date).
allure to secure.coverage as required under Section 25A of MGL c. 152 can lead to the imposition of crinzinsi penalties of.a
ine up to$1,5oa Q4 and/or`one-year imprisonment, as well as civil penalties in the form of a STOP WORKflRDEl2;aiid a.. ne
)f up tQ$20 0C3 a:day:againstthe violator Be:advised that a co py of this statement maybe forwarded to th O ce of
nvestigatiobs of:ihe:DIA for i3ts-111-anco coverage veHE-'ioa '
do hereby,ce under t epairzs arzdpenrrlties 10 e ry:Mid the information provided above is true and correct
; . .:ature` Oq& Date:
hone#: 09
Official use only. Do not write in this area,to be completed by city or town official.
City or Town: . PermitiLi cease#
Issuing Authority(circle one): r
1. Board of Health 2.Building Department 3., City/Town Clerk 4_Electrical Inspector 5_Plumbing Inspector
b. Other
Contact..Person: ._.......:..... n:......_ .... . . _ _._.._..... -- _.._..
S�\ ✓fie Var,�nzar�ulea� ���i
Board of Building Regulations and Standards License or registration valid for individul use only
lug
HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Registration: 100740
Board of Building Regulations and Standards
One Ashburton Place Rm 1301
Ezpiratiori `6/23/2008 Boston,Ma.02108
Type;:Supplement Card
CAPI=I HOME IMPROVEMENT, I
VARY GUSTAFSON'
1645 Newton Rd.
Cotuit, MA 02635 Administrator t valid with t Sig Lure
Board of Building Regula ions and Standards
One Ashburton Place - Room 1301
Boston, Massachusetts 02108
Home Improvement Contractor.Registration.
Registration: 100740
Type: Supplement Card
Expiration: 6/23/2008
CAPIZZI HOME IMPROVEMENT,
GARY GUSTAFSON
1645 Newton Rd.
COtU It, MA 02635 Update Address and return card.Mark reason for change.
Address Renewal Employment ❑ Lost Card
✓fie U/oanima�ruuecz�� a�✓��raatzcfau/tel�a
= Board of Building Regulations and Standards
Construction Supervisor License
License: CS 74640
Bi rthdate: 11/29/1975 -u
Expiration: 11/29/2008 Tr# 6430
Restriction: 00
GARY GUSTAFSON
8 SHORT WAY
SANDWICH,MA 02563 Commissioner
AP jZ2
Home j
Improvement
Inc.
I, Gary Gustafson, Production manager Of Capizzi Home Improvement, hereby authorize
.Lisa Haworth,to sign on my behalf for permit applications filed through the town.
Signed:
.Gary G stafso Date:
is h Date:
F71645 Newtown Road Cotuit, MA 02635 (508) 428-9518 (800) 262-5060 FAX(508) 428-1547
74—
a' Assksor's map and lot number .Of...� .. .. ...
SSPTI:C SYST1A ."WT S' IP�STALLFC IN COINIHKIAINCE
WITH AR 9
CI"E I I ST
7�
Sewage Permit number
TsImE �.
Qy�F THE r TOWN ®1 1J Fl l 1WXB1
L, BJBB4TODLE, i
"6 9 BUILDING INSPECTOR
t A ®APPLICATION FOR PERMIT TO .A ..•...•... . ... .•..... . ...•.•••.•••• 1.9ft.6
TYPE OF CONSTRUCTION .....J/. .. .. .. . . . . .. .. ............ ...... ....... ................................
........... . ... .
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location . .... ..... ,
6 -
ProposedUse ......e,.4 . .... ... ... .... ... .... ..........................................w.................................
Zoning District ........... .^...1......................................Fire District ............... ... .1......... ..................
Name of Owner /J � �r�f,...�..,. ...Address ..�I...`..� ... ..: .. v...
Name of Builder .. A
....Address .. ... ��C�G�Gr '!!%tt�.rJ
.y... . � .
O I
3 7
Name of Architect —� Address
Number of Rooms ....... .............................................Foundation ..... ,. .. .
Exterior 9�""'K �� . Roofing ...... ....... f� .......
Floors ......0 U. .... .... . . .. ....`. ..........................................Interior ........... . .............. ..... . . .......................
...........
laHeating ... ....................,�� ��f/....................Plumbing .............
�...z�...... Q?
Fireplace ...:.. j...............................................Approximate Cost ..�C/ avo.... ........... ... ...
Definitive Plan Approved by Planning Board ---------------_---------------19________. Area .....J� .....5� .... .....
Diagram of Lot and Building with Dimensions Fee v
SUBJECT TO APPROVAL OF BOARD OF' HEALTH
16
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. '
Name i ....
Franco Real Estate Development Co. , Inc.
17892 1 1/2 story,
�la .................. Permit for ....................................
single family dwelling
...........................................................................
SKEHIM Castlewood Circle
Location .
Hyannis
Franco Real Estate Development Co. ,' Inc. t, F
Ownerr...................................................................
c frame
Type-'of Construction
it
LA
'
............00 0. .......... .................................................
Plot ........................ Lot ...........#18..............
Permit Granted ....,.,..Au ust 18,,.....•...19 75 ,
g r
/Date of Inspection .� ..S r r, ... 19
Date Completed ..............19 k
. ' PERMIT REFUSED t t
t ................................................................ 19 ,
Cl-
i
', ........... . ....................................... .............:...
1 Approved
. ....................................
Sf P." 90
s i
yy 16 .
24 p ,J
5.7
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' CA / /O/V 21:4 it
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let
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